Claim total
$127.17
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Sprain384709000
- Start
- 2017-10-10
- Stop
- 2017-10-10
The parties
- Patient
- patient Nikole Ronald Crona
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer No insurance
Record id
0205d624-3e5e-6b66-0660-c95d0525689f